Hospital Information 2004

New Island Hospital

PFI # 0551

Revised: 6/05

Complaints:

Complaint Information: 2004
Complaint Investigations Completed: 12
Complaints with Statements of Deficiencies (SOD) issued: 7
% of Complaints with SODs Issued 58%
Regional % of Complaints with SODs issued: 41.4%

Areas Cited:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
3/12/04 405.7(b)(13) Patients' Rights

Hospital Responsibilities

NO POC REQUIRED
  405.12 Surgical Services  
9/30/03 405.2(c)(2) Governing Body

Compliance With Federal, State and Local Laws

7/16/04
  405.2(f)(1) Governing Body

Care of Patients

 
  405.3(a) Administration  
  405.4(a)(1)(i) Medical Staff

Medical Staff Accountability

 
  405.4(a)(1)(ii) Medical Staff

Medical Staff Accountability

 
  405.4(c)(6) Medical Staff

Medical Staff Bylaws

 
  405.4(e)(2)(ii) Medical Staff

Registered Physician's Assistants and Registered Specialist's Assistants

 
  405.5(b)(1)(ii) Nursing Services

Delivery of Services

 
  405.5(b)(4) Nursing Services

Delivery of Services

 
  405.6(a)(2)(ii) Quality Assurance Program  
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
6/23/04 405.6(b)(7)(vii) Quality Assurance Program

Activities

8/31/04
  405.7(b)(23) Patients' Rights

Hospital Responsibilities

 
1/22/04 405.3(a) Administration 5/5/04
  405.6(a)(2)(vi) Quality Assurance Program  
  405.15(a)(4) Radiologic and Nuclear Medicine Services

General Provisions for Diagnostic and Therapeutic Radiologic Services

 
1/22/04 405.19(d)(1)(iv) Emergency Services

Staffing

4/6/04
7/7/04 405.5(b)(2) Nursing Services

Delivery of Services

9/22/04
  405.5(b)(3) Nursing Services

Delivery of Services

 
  405.5(b)(4) Nursing Services

Delivery of Services

 
1/23/04 405.2(f)(1) Governing Body

Care of Patients

12/27/04
  405.4(a)(1)(ii) Medical Staff

Medical Staff Accountability

 
  405.4(a)(2) Medical Staff

Medical Staff Accountability

 
  405.5(b)(1)(i) Nursing Services

Delivery of Services

 
  405.5(b)(1)(iii) Nursing Services

Delivery of Services

 
  405.5(b)(2)(ii) Nursing Services

Delivery of Services

 
  405.6(a)(2)(i) Quality Assurance Program  
  405.7(b)(3) Patients' Rights

Hospital Responsibilities

 
  405.7(b)(14) Patients' Rights

Hospital Responsibilities

 
  405.8(b)(1) Incident Reporting  

Areas Cited as a Result of Surveys:

Date of Survey Type Areas Cited: Date Plan of Correction Accepted
none

Most Recent Survey Date:

Areas Cited as a Result of Incident Investigations:

SOD Date Regulatory Citation Areas Cited: Date Plan of Correction Accepted
none